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Central Texas Subspecialists For Children PLLC

Clinic/Center, Infusion Therapy in Austin, TX. Organization (NPI-2).

NPI number1114402005
StatusActive
Last updated in NPPESSep 26, 2018

Details

NPI
1114402005
Entity type
Organization (NPI-2)
Legal business name
Central Texas Subspecialists For Children PLLC
Organization subpart
No
Enumeration date
Sep 26, 2018
Last updated
Sep 26, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QI0500X Clinic/Center, Infusion Therapy––Yes

Practice location

5301 Davis Ln Ste 200a
Austin, TX 78749-4062

Phone 512-494-4000 · Fax 512-494-4090

Mailing address

5301 Davis Ln Ste 200a
Austin, TX 78749-4062

Phone 512-494-4000 · Fax 512-494-4090

Authorized official

Jeffery S. Kane
President
5124944000

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